%0 Journal Article
%T Pancreaticobiliary malunion and incomplete pancreas divisum: an unusual cause of common bile duct obstruction
%A J Petrasek
%A 
%A T Hucl
%A J Spicak
%J Advances in Medical Sciences
%@ 1898-4002
%D 2008
%I 
%R 10.2478/v10039-008-0002-3
%X Purpose: Pancreaticobiliary malunion (PBM) is a distinct disease entity of the pancreatic and biliary ductal system defined as a condition in which the junction of the pancreatic and biliary ducts occurs above the duodenal wall. PBM may be combined with a stenosis of the distal common bile duct and pathological changes in the common bile duct wall (congenital cyst of bile duct), being a potentially malignant condition. Pancreas divisum, resulting from a fusion failure of the ventral and dorsal pancreatic buds, and characterized by a dominant Santorine duct, is considered to be a predisposing factor to recurrent attacks of acute pancreatitis. In incomplete pancreas divisum, the ventral and dorsal pancreas are connected by a segmental branch. Material and Methods: We report a case of a 33-year-old female patient with PBM associated with incomplete pancreas divisum, who had presented episodes of acute cholangitis due to a benign distal common bile duct stricture. Results: Treatment with choledochoduodenostomy and cholecystectomy provided thorough relief and resolution of symptoms. Conclusion: This is the first report of coexistent PBM and incomplete pancreas divisum in a Caucasian patient with unusually late clinical manifestation.
%K bile ducts/abnormalities
%K pancreatic ducts/abnormalities
%K adult
%U http://versita.metapress.com/content/x3448x6h72647ul7/?p=c9dade954a6c4063b54a73fd6e308110&pi=1